Aclidinium

FDA label

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Renal No adjustment needed

Hepatic Undefined

Instructions

• For oral inhalation only; one inhalation morning and evening, approximately 12 hours apart.
• Not for acute bronchospasm; not a rescue medication.
• Not indicated in pediatric patients (COPD does not normally occur in children).

Contraindications

• Severe hypersensitivity to milk proteins

Cautions

• Not for acute use/rescue therapy.
• Paradoxical bronchospasm — stop and consider other treatments if it occurs.
• May worsen narrow-angle glaucoma — use with caution; consult physician immediately if eye pain, blurred vision, halos.
• May worsen urinary retention — caution in prostatic hyperplasia or bladder-neck obstruction.
• Immediate hypersensitivity reactions (anaphylaxis, angioedema, urticaria, bronchospasm) — discontinue at once.

Adverse reactions

• Headache
• Nasopharyngitis
• Cough
• (1–3%): diarrhea, sinusitis, rhinitis, toothache, fall, vomiting

Pregnancy No adequate human data; no adverse developmental effects in animals at 15–20x the human inhaled dose (effects only at very high oral multiples).

Lactation No human data; present in rat milk — likely present in human milk.